Stitches vs mesh: which is better for hernia repair?
NCT ID NCT05599750
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two surgical methods for fixing incisional hernias (2-6 cm wide): using stitches alone or using mesh. The goal is to see if stitches work just as well as mesh for quality of life one year after surgery. About 154 adults who have had a prior hernia repair without mesh will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Incisional hernia repair (surgery)
- What this could lead to
- If suture repair works as well as mesh, patients could avoid the risks and costs of mesh implants while still getting good results.
- What could go wrong
- This is a small, early-stage trial (154 people) comparing two surgical techniques. Results may not apply to larger hernias or emergency cases, and suture repair might not hold up as well over time.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 154 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2022
- Expected to finish
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Oct 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults \>18 years old. * Anticipated hernia defect 2-6cm in width * Non-emergent case * CDC class I * Patients who previously underwent primary ventral hernia repair without the use of mesh * Incisional hernia Exclusion Criteria: * Emergent cases * Patients \< 18 years old * Patients who are pregnant * Patients who previously underwent a prior ventral hernia repair with mesh at the site of the intended repair. Abdominal mesh in separate locations would be allowed. * Ventral hernia \<2cm or \> 6 cm in width * Primary hernia * CDC wound class II-IV
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cleveland Clinic Main Campus
RECRUITINGCleveland, Ohio, 44195, United States
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Northwestern
RECRUITINGChicago, Illinois, 60611, United States
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The Ohio State University Wexner Medical Center
NOT_YET_RECRUITINGColumbus, Ohio, 43210, United States
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University of Florida
RECRUITINGGainesville, Florida, 32611, United States
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Vanderbilt University
RECRUITINGNashville, Tennessee, 37232, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A mesh shield: could a simple addition during surgery prevent painful hernias?
- Can we predict mesh infections before they happen? a new study aims to find out
- Can a robot help heal large hernias faster? a trial puts it to the test
- Can a flap made from the hernia sac itself prevent mesh complications?
- New stitch may stop hernias after stoma reversal surgery
- Can removing colon tissue through the anus prevent hernias? new study aims to find out.